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General NPI Number Information
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NPI Number | 1487317541
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Entity Type | Individual
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Provider Name | ERICA TURNER
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Gender | Female
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Dates
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Enumeration Date | 10/15/2021
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 2706 N HALSTED ST STE B
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City | CHICAGO
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State | IL
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Zip | 60614-1414
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Country | US
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Telephone | 312-857-8835
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Fax |
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Provider Business Mailing Address
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Address Line | 602 E 50TH PL APT 1
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City | CHICAGO
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State | IL
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Zip | 60615-5177
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Country | US
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Telephone | 773-270-7527
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT21906758
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 227.023033
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License Number State | IL
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